The present disclosure relates to devices, systems and methods for improving patient adherence with respect to HFCC therapy. A therapy system of the present disclosure may include a percussive pulsing therapy device configured for delivering pulsating or intermittent airflow to a patient device, such as a patient vest worn by a patient. The airflow delivered to the patient vest may have an air pressure and a frequency, each of which may be adjustable in some embodiments. A therapy system of the present disclosure may additionally include a controller, a database, and one or more sensors. The controller and/or one or more sensors may record therapy data for a therapy session. Based on the recorded therapy data, the system may provide encouragement, advice, motivation, and/or options or information to a user by way of skills training, goal setting, feedback, reinforcement, environmental prompts, social support, and/or other patient interventions.